Evaluation of Adherence Levels to the Mediterranean Diet in Patients with Cholelithiasis
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https://doi.org/10.5281/zenodo.8402474Keywords:
Anthropometric measurements, Cholelithiasis, Gallstones, Mediterranean diet, DietAbstract
Objective: The Mediterranean diet is associated with preventing and treating diseases with the consumption of beneficial nutrients in its composition and the intake of nutrients. It is a sustainable diet model with a protective feature on health. The beneficial health effects of the daily dietary pattern and adherence level to the Mediterranean diet in forming gallstones are well recognized. This study aimed to investigate the effect of the Mediterranean diet on individuals with cholelithiasis.
Methods: The study included a total of one hundred people, fifty of whom had cholelithiasis, and fifty healthy controls who were in the same age group as the patient group. Participants were questioned about their food frequency by surveys. Adherence level to the Mediterranean diet was evaluated with the Mediterranean Diet Adherence Screener (MEDAS).
Results: When the patients were compared with the healthy controls, the patient group had a lower Mediterranean diet adherence (p<0.01). According to the statistics, there was a negative correlation between body mass index (r: -0.486), waist circumference (r: -0.407), body fat ratio (r: -0.521), and adherence levels to the Mediterranean diet in the males of the patient group. The total daily energy, total fat, carbohydrates, n-6 fatty acid, and saturated fatty acid intake levels of females in the patient group were higher than those in the control group (p<0.05). The total daily energy, fat, saturated fatty acids, and cholesterol intake levels of the males in the patient group were higher than those in the control group (p<0.05).
Conclusion: The study found that adherence level to the Mediterranean diet model and weight control significantly affect the formation of gallstones. Keywords: Anxiety, Blood Draw, Child, Nursing, Pain, Virtual Reality.
References
Attili A. F., Scafato E., Marchioli R., Marfisi R. M., Festi D. (1998). Diet and gallstones in Italy: The cross-sectional MICOL results. Hepatology, 27(6), 1492-8.
Bach-Faig A., Berry E. M., Lairon D., Reguant J., Trichopoulou A., Dernini S., . . . Serra-Majem L. (2011). Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr, 14, 2274-84.
Barré A., Gusto G., Cadeau C., Carbonnel F., Boutron-Ruault M. C. (2017). Diet and risk of cholecystectomy: A prospective study based on the French E3N cohort. Am J Gastroenterol, 112, 1448-1456.
Cuevas A, Miquel J. F., Reyes M. S., Zanlungo S., Nervi F. (2004). Diet as a risk factor for cholesterol gallstone disease. J Am Coll Nutr, 23(3), 187-96.
Dhamnetiya D., Goel M.K., Dhiman B. R. (2018). Risk factors associated with gallstone disease. Indian Journal of Community Health, 30(02), 133-8.
European Association for the Study of the Liver. (2016). Clinical practice guidelines on the prevention, diagnosis, and treatment of gallstones. J Hepatol, 65(1), 146-181.
Everhart J. E., Khare M., Hill M., Maurer K. R. (1999). Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology, 117(3), 632-9.
Fatma E., Pehlivanoğlu Ö., Balcıoğlu H., Ünlüoğlu İ. (2020). Turkish validation and reliability of Mediterranean diet adherence screener. Osmangazi Journal of Medicine, 42(2), 160-4.
Fields M., Lewis C. G. (1999). The level of dietary iron, not the type of dietary fat, is hyperlipidemic in copper-deficient rats. J Am Coll Nutr, 18(4), 353-7.
Figueiredo J. C., Haiman C., Porcel J., Buxbaum J., Stram D, . . . Setiawan V. W. (2017). Sex and ethnic/racial-specific risk factors for gallbladder disease. BMC Gastroenterol, 17(1), 153.
Gu Q., Zhou G., Xu T. (2020). Risk factors for gallstone disease in Shangai. Medicine, 99(3), e18754.
Stinton L. M., Shaffer E. A. (2012). Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer. Gut Liver, 6(2), 172-187.
Jessri M., Rashidkhani B. (2015). Dietary patterns and risk of gallbladder disease: A hospital-based case-control study in adult women. J Health Popul Nutr, 33(1), 39-49.
Koşar K., Duran C., Fişekci Oktar S. (2019). Karaciğer sirozu olan hastalarda safra kesesi taşı sıklığı. Aegean J Med Sci, 2(3), 97-100.
Kris-Etherton P. M., Innis S. (2007). Position of the American dietetic association and dietitians of Canada: Dietary fatty acids. J Am Diet Assoc, 107(9), 1599-611.
Kwon O. S., Kim Y. K., Her K. H., Kim H. J., Lee S. D. (2020). Physical activity can reduce the prevalence of gallstone disease among males. Medicine, 99(26), 20763.
Martínez-González M. A., García-Arellano A., Toledo E., Salas-Salvado J., Buil-Cosiales P., Corella D., . . . Estruch R. (2012). A 14-item Mediterranean Diet assessment tool and obesity indexes among high-risk Subjects: The PREDIMED Trial. PLoS One, 7(8), e43134.
McConnell T. J., Appleby P. N., Key T. J. (2017). Vegetarian diet as a risk factor for symptomatic gallstone disease. Eur J Clin Nutr, 71(6), 731-735.
Méndez-Sánchez N., Zamora-Valdés D., Chávez-Tapia N. C., Uribe M. (2007). Role of diet in cholesterol gallstone formation Clin Chim Acta, 376(1-2), 1–8.
Misciagna G., Centonze S., Leoci C., Guerra V., Ceo R. (1999). Diet, physical activity, and gallstones-a population-based, case-control study in southern Italy. Am J Clin Nutr, 69(1), 120-6.
Moerman C. J., Smeets F. W., Kromhout D. (1994). Dietary risk factors for clinically diagnosed gallstones in middle-aged men. A 25-year follow-up study (The Zutphen study). Ann Epidemiol, 4(3), 248-54.
Novacek G. (2006). Gender and gallstone disease. Wien Med Wochenschr, 156(19-20), 527-33.
Park Y., Kim D., Lee J. S., Kim Y. A., Jeong Y. K., Lee K. G. (2017). Association between diet and gallstones of cholesterol and pigment among patients with cholecystectomy: a case-control study in Korea. J Health Popul Nutr, 36(1), 39.
Pasternak A., Bugajska J., Szura M., Walocha J. A., Matyja A., Gajda M., . . . Gil K. (2017). Biliary Polyunsaturated Fatty Acids and Telocytes in Gallstone Disease. Cell Transplant, 26(1), 125-133.
Schröder H., Fitó M., Estruch R., Martinez-Gonzalez M. A., Corella D., Salas-Salvado J., . . . Covas M. I. (2011). A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr, 141(6), 1140-5.
Shaffer E. A. (2006). Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol, 20(6), 981-96.
Sofi F., Abbate R., Gensini G. F., Casini A. (2010). Accruing evidence on benefits of adherence to the Mediterranean diet on health: An updated systematic review and meta-analysis. Am J Clin Nutr, 92(5), 1189-96.
Şahin S., Ergüder E., Pekcici M. R. (2020). Mediterranean diet and breastfeeding reduce the risk of gallstones in women. Mediterranean Journal of Nutrition and Metabolism, 13(4), 289-310.
Thornton J. R., Emmett P. M., Heaton K. W. (1983). Diet and gallstones: effects of refined and unrefined carbohydrate diets on bile cholesterol saturation and bile acid metabolism. Gut, 24(1), 2- 6.
Tsai C. J., Leitzmann M. F., Willet W. C., Giovannucci E. L. (2005). Dietary carbohydrates and glycaemic load and the incidence of symptomatic gallstone disease in men. Gut, 54(6), 823-8.
Tsai C. J., Leitzmann M. F., Willett W. C., Giovannucci E. L. (2007). Heme and non-heme iron consumption and risk of gallstone disease in men. Am J Clin Nutr, 85(2), 518-22.
Tsai C. J., Leitzmann M. F., Willett W. C., Giovannucci E. L. (2008). Long-term effect of magnesium consumption on the risk of symptomatic gallstone disease among men. Am J Gastroenterol, 103(2), 375-82.
Tseng M., Everhart J. E., Sandler R. S. (1999). Dietary intake and gallbladder disease: a review. Public Health Nutr, 2(2), 161-72.
Waniek S., di Giuseppe R., Esatbeyoglu T., Ratjen I., Enderle J., Jacobs G., . . . Lieb W. (2018). Association of circulating vitamin E (α- and γ-Tocopherol) levels with gallstone disease. Nutrients,10(2), 133.
Worthington H. V., Hunt L. P., McCloy R. F., Maclennan I., Bragnaza J. M. (1997) A pilot study of antioxidant intake in patients with cholesterol gallstones. Nutrition, 13(2), 118-27.
Wirth J., Song M., Fung T. T., Joshi A. D., Tabung F. K., Chan A. T. (2018). Diet-quality scores and the risk of symptomatic gallstone disease: a prospective cohort study of male US health professionals. Int J Epidemiol, 47(6), 1938-1946.
Yago M. D., González V., Serrano P., Calpena R., Martínez M. A., Martínez-Victoria E. (2005). Effect of the type of dietary fat on biliary lipid composition and bile lithogenicity in humans with cholesterol gallstone disease. Nutrition, 21(3), 339-347.
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